Heart Failure at 80 must be the Guinness

Now take these till you expire or the Doctor tells you to stop NO Guinness

Ramipril 1.25mg capsule

Ramipril 2.5mg capsule High Priority   XX  Spironolactone

Ramipril 2.5 mg is prescribed for:

Hypertension (high blood pressure): The usual starting dose for high blood pressure is 2.5 mg once daily.

Heart failure: It may be started at 1.25 mg or 2.5 mg once or twice daily, with doses adjusted as needed.

Prevention of heart attack and stroke: The usual starting dose for cardiovascular prevention is 2.5 mg once daily, which may be increased.

Treatment after a heart attack: Dosing typically starts at 2.5 mg twice daily for patients who are stable.

Kidney problems: It can help reduce the risk or delay the worsening of kidney problems in certain patients, with usual doses ranging from 2.5 mg to 10 mg.

Bisoprolol 2.5mg tablet High Priority

Bisoprolol 2.5 mg tablet is a beta-blocker medication used to treat high blood pressure, angina (chest pain), and heart failure. It works by slowing the heart rate and making the heart more efficient at pumping blood, which helps improve blood flow and reduce the risk of future cardiac events like heart attacks and strokes.

The typical daily dose for high blood pressure or angina is 5mg to 10mg, with a maximum of 20mg. It is usually taken once a day, with or without food, at the same time each day to maintain a consistent level in the body.

Dapagliflozin 10mg tablets High Priority

Heart Failure: Used in adults to reduce the risk of cardiovascular death, hospitalization, and urgent heart failure visits, particularly in patients with reduced ejection fraction (when the heart cannot pump enough blood to the rest of the body).

Chronic Kidney Disease (CKD): Used in adults to reduce the risk of the disease worsening, end-stage kidney disease, cardiovascular death, and hospitalization for heart failure. This benefit applies to patients both with and without type 2 diabetes.

Dapagliflozin belongs to a class of medications called sodium-glucose co-transporter 2 (SGLT2) inhibitors. It works on the kidneys to block the reabsorption of glucose into the bloodstream, causing excess sugar, salt, and water to be removed from the body through the urine. This action helps lower blood sugar levels and also reduces the workload on the heart and helps protect kidney function.

Furosemide 40mg tablets Low Priority

Function: Furosemide works by helping the kidneys get rid of excess salt and water from the body through increased urine production. This reduces swelling and lowers blood pressure.

Indications: It is used to manage fluid buildup associated with conditions such as heart failure, liver disease (cirrhosis), and kidney disease. It is also used, sometimes in combination with other drugs, to manage high blood pressure.

Dosage: The usual adult starting dose for edema is 20mg to 80mg per day, while for hypertension it’s typically 40mg twice a day. Doses can be adjusted by a doctor based on patient response and the condition being treated.

Administration: Tablets are typically taken once or twice daily, often in the morning and at lunchtime, to avoid nighttime urination. It can be taken with or without food.

Effect: Furosemide starts to work within 1 hour, and its effects generally last for about 6 to 8 hours.

Prescription: Furosemide is a prescription-only medicine and must be used under medical supervision. Regular monitoring of kidney function and electrolyte levels (like potassium and sodium) is often required.

Apixaban 2.5mg tablet Medium Priority Reacts  Garlic Spironolactone

Apixaban 2.5 mg tablets (brand name Eliquis, among others) are an anticoagulant (blood thinner) medication used in adults for specific conditions related to blood clots. They are primarily used in two main scenarios: to prevent blood clots from forming in at-risk patients and to prevent existing blood clots from re-occurring.

Atorvastatin 20mg tablet Low Priority   aches numbness stiffness

10 or 20 mg of atorvastatin daily is considered moderate intensity, while 40 to 80 mg is high intensity.

Atorvastatin 20mg tablets are primarily used to lower high cholesterol and triglyceride levels in the blood, and to reduce the risk of serious cardiovascular events such as heart attacks, strokes, and chest pain (angina).

Leg pain from statins often feels like a dull ache, soreness, stiffness, or weakness, commonly in the thighs, calves, hips, or shoulders, sometimes accompanied by cramps, especially at night, making daily activities difficult. While it can be a mild discomfort, it might also manifest as heaviness, tenderness, or tingling, but it’s crucial to tell your doctor, as it can sometimes signal muscle damage

Omeprazole 20mg gastro-resistant capsule Low Priority

Omeprazole works by irreversibly blocking the hydrogen-potassium adenosine triphosphatase enzyme system, commonly known as the proton pump, which is located in the stomach’s parietal cells. This action is the final step in stomach acid production, effectively stopping both basal and stimulated acid secretion, regardless of the trigger. The body must create new proton pumps to restore normal acid production, which is why the drug’s effect lasts up to 72 hours and full acid secretion returns only after several days of stopping the medication. Used for :-

Gastroesophageal reflux disease (GERD) and erosive esophagitis.

Heartburn and indigestion (dyspepsia).

Peptic ulcer disease (gastric and duodenal ulcers).

Zollinger-Ellison syndrome, a condition involving excessive acid production.

Helicobacter pylori infection, used in combination with antibiotics to eradicate the bacteria and prevent ulcer recurrence.

Prevention of stomach ulcers in patients taking certain anti-inflammatory drugs (NSAIDs) or antiplatelet medications like clopidogrel.

It is available both over-the-counter (OTC) for short-term frequent heartburn relief and by prescription for other conditions, including long-term management where necessary.

Spironolactone 25mg tablets Low Priority

Spironolactone 25 mg tablets (brand name Aldactone or generics) are a prescription medication classified as a potassium-sparing diuretic. They work as an aldosterone antagonist to help your body eliminate excess water and sodium while preventing potassium loss. Water pills (Potassium-sparing diuretics) interacts with Magnesium. Some “water pills” can increase magnesium levels in the body. Taking some “water pills” along with magnesium might cause too much magnesium to be in the body.

A Raspberry for the negative people and hope for the young.

From a Pensioner.

In 2024, Age UK’s Chief Economist’s report highlighted the significant economic contributions of older people, with a focus on employment, informal caring, childcare, and volunteering, totalling £61 billion. With addition contributions to offspring, Chancellor of the exchequer and charity contributions approx. £25 billion gives a total £86 billion.

There are now more than 10 million people in the UK aged 65 and over, with a growing number of them working.

Knowledge, Skill, and Energy: Older people bring a great deal of knowledge, skill, and energy to the workforce and as volunteers.

Government spending on the state pension in 2024-25 is forecast to total £220 billion.

In 2024, pensioners contributed significantly to the British economy through spending and investments, with the total value of taxable payments withdrawn flexibly from pensions exceeding £87.6 billion since 2015.

At the start of 2025, the market value of private sector defined benefit and hybrid (DBH) pension schemes was £1.178 trillion. (Yes, a thousand billion is a trillion). Two and half of this amount would take Britian with a National Debt estimated to be £2.79 trillion out of debt for the first time since 1890. All down to pensioners and their thrift and diligence in handling money.

A dying subject

1961 Suicide Act. The rule of law whereby it is a crime for a person to commit suicide is hereby abrogated ‘it is no longer a crime to attempt suicide.

1987 survey of 301 GPs, which suggested that, if the law was to be changed along the lines of the ADTI Bill, 53% would not carry out euthanasia on a patient, 35% would consider doing so and 10%

might consider doing so.

1993 survey of 312 GPs and hospital consultants on attitudes of doctors to requests for euthanasia. 46% of those questioned (51% of GPs and 40% of consultants) would be prepared to consider practising euthanasia if asked by a competent patient. 32% would not.1993/4 there should be no change in the law on intentional killing, which is the cornerstone of law and social relationships,

1995 Survey of 2150 doctors, in which 44% supported legal reform while 53% rejected it. 43%—slightly more GPs than hospital doctors—would consider practising euthanasia if legal.

1996 BMA News Review survey of 750 GPs, in which 46% of GPs

supported and 44% rejected legal reform.

1998 Survey of 322 United Kingdom psychiatrists, 38% of whom believed that euthanasia should be legalised and 35% were willing to assess the psychological suitability of applicants for euthanasia.

1999 survey of 333 geriatricians (45% of all UK. doctors in this speciality), 80% of whom felt that euthanasia could never be justified, though 23% felt that it should be legal in some circumstances.

2003 The Liverpool Care Pathway for the Dying Patient (‘LCP’) was an integrated care pathway (ICP) recommended by successive governments in England and Wales to improve end-of-life care. It was discontinued in 2014 following mounting criticism and a national review. 

2003 Lord Joffe introduced into Parliament his Patient (Assisted Dying) Bill

2004 qualitative research carried out by Help the Hospices, which concluded that the introduction of euthanasia legislation was seen within the hospice movement as capable of changing the ethos of hospice care for the worse and of eroding the relationship of trust physicians, carers and patients.

2014 New ‘approach’ to end of life care replaces axed Liverpool pathway.

2024 AND NOW A new way to die still under discussion.  

Keep your eyes open and watch out for Brain Fog

Davos 18 July 23

Klaus Schwab Founder and Chairman World Economic Forum.

Harvard Student, mentor Henry Kissinger, mater David Rockefeller.

b.1938 Upper middle class. Father’s firm Escher Wyss, slave labour used 1938 to 1945 making ammunitions and heavy industrial components including development equipment for nuclear weapons.

KS. Quote; No one will own property by 2030 but will be happy.

Bank account should be monitored for subversive individuals, jab refusers, non-conformists to religious doctrine and any rebels made non-persons (reflections of Germany in the 1930s).

Guests at this year’s conference (£19,000 a seat by invite only) Sir Keith Starmer and Rachel Reeves plus other UK middle and upper class influencers.

Tony Blair’s company (Tony also guest at the conference)

We’re a global team of political strategists, policy experts, delivery practitioners, technology specialists and more. We’re from the public, private and tech sectors. We come from over 50 different countries and speak over 45 languages. We are united in our desire to make the world a better place and our optimism that it can be done. If you’re a dynamic changemaker who shares our vision, there’s room at our table for you.

750+ Staff creating change.  30+ Countries we’re making an impact in. 50+ Bold partners in action.

Talk about Brain Fog it sound all Tsunami Fog

Concerned about AI

Those of us 80yr olds need reminding of Christopher Lee in the ‘AVENGERS ‘ 1967 Never Never Say Die. Same hype just another day.